Provider First Line Business Practice Location Address: 
500 ALA MOANA BLVD STE 7-400
    Provider Second Line Business Practice Location Address: 
    Provider Business Practice Location Address City Name: 
HONOLULU
    Provider Business Practice Location Address State Name: 
HI
    Provider Business Practice Location Address Postal Code: 
96813-4902
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
808-557-1080
    Provider Business Practice Location Address Fax Number: 
    Provider Enumeration Date: 
09/10/2017